Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 07-01-2016 , and ending 06-30-2017
Name of foundation
PEMCO Foundation Inc
 
Number and street (or P.O. box number if mail is not delivered to street address)1300 Dexter AVe N
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
seattle, WA98109
A Employer identification number

91-6072723
B Telephone number (see instructions)

(206) 628-4285
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,604,997J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 43,232
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 25,009 25,009  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 6,713
b Gross sales price for all assets on line 6a 6,713
7 Capital gain net income (from Part IV, line 2)... 6,713
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 74,954 31,722 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,150 0 0 3,150
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 700 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,095 1,841 0 254
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 5,945 1,841 0 3,404
25 Contributions, gifts, grants paid....... 310,690 310,690
26 Total expenses and disbursements. Add lines 24 and 25 316,635 1,841 0 314,094
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -241,681
b Net investment income (if negative, enter -0-) 29,881
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2019)
Form 990-PF (2019)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 105,112 284,203 284,203
2 Savings and temporary cash investments......... 673,140 199,286 199,286
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 987,521 Click to see attachment1,121,508 1,121,508
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,765,773 1,604,997 1,604,997
Liabilities 17 Accounts payable and accrued expenses.......... 19,780 25,190
18 Grants payable................. 2,310 2,290
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 22,090 27,480
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,743,683 1,577,517
30 Total liabilities and net assets/fund balances (see instructions). 1,765,773 1,604,997
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,743,683
2
Enter amount from Part I, line 27a .....................
2
-241,681
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
75,515
4
Add lines 1, 2, and 3 ..........................
4
1,577,517
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,577,517
Form 990-PF (2019)
Form 990-PF (2019)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a Capital Gains Dividends P    
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 6,713     6,713
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       6,713
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 6,713
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3 0
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2018 426,587 1,797,046 0.237382
2017 383,851 1,873,290 0.204907
2016 580,265 1,942,735 0.298685
2015 636,121 2,406,560 0.264328
2014 589,685 2,682,331 0.219841
2
Total of line 1, column (d) .....................
2
1.225143
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.245029
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
1,466,643
5
Multiply line 4 by line 3......................
5
359,370
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
299
7
Add lines 5 and 6........................
7
359,669
8
Enter qualifying distributions from Part XII, line 4,.............
8
314,094
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2019)
Form 990-PF (2019)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 598
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 598
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 598
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 227
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 527
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 5
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 76
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletjessica delgado Telephone no.bullet (206) 628-5275

    Located atbullet1300 Dexter Ave NSeattleWA ZIP+4bullet98109
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2019?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2019?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2019 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2019.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
    4b
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
    No
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Stan W Mcnaughton President & treasurer
    0.50     		0 0 0
    1300 Dexter Ave N
    seattle,WA98106
    Sandra M Kurack Vice-President
    0.25     		0 0 0
    1300 Dexter Ave N
    seattle,WA98106
    Denice M Town Secretary
    0.50     		0 0 0
    1300 Dexter Ave N
    seattle,WA98106
    Gayle C Glass Trustee
    0.25     		0 0 0
    1300 Dexter Ave N
    seattle,WA98106
    brian R Mcnaughton trustee
    0.25     		0 0 0
    1300 Dexter Ave N
    seattle,WA98106
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,027,239
    b
    Average of monthly cash balances.......................
    1b
    461,739
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,488,978
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,488,978
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    22,335
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,466,643
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    73,332
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    73,332
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    598
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    598
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    72,734
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    72,734
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    72,734
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    314,094
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    314,094
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    314,094
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2018     		(c)
    2018     		(d)
    2019
    1 Distributable amount for 2019 from Part XI, line 7 72,734
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only....... 0
    b Total for prior years:2014, 2013, 2012 0
    3 Excess distributions carryover, if any, to 2019:
    a From 2014...... 456,656
    b From 2015...... 516,777
    c From 2016...... 483,628
    d From 2017...... 291,103
    e From 2018...... 337,208
    fTotal of lines 3a through e........ 2,085,372
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 314,094
    a Applied to 2018, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2019 distributable amount..... 72,734
    e Remaining amount distributed out of corpus 241,360
    5 Excess distributions carryover applied to 2019. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,326,732
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2014 not
    applied on line 5 or line 7 (see instructions) ...     		456,656
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......     		1,870,076
    10 Analysis of line 9:
    a Excess from 2015.... 516,777
    b Excess from 2016.... 483,628
    c Excess from 2017.... 291,103
    d Excess from 2018.... 337,208
    e Excess from 2019.... 241,360
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2019, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2019 (b) 2018 (c) 2017 (d) 2016
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    scholarships co Pemco Foundation
    1300 Dexter Ave N
    seattle,WA98109
    (206) 628-4285
    scholarships@pemco.com
    bThe form in which applications should be submitted and information and materials they should include:
    applications should be mailed, emailed, or faxed to the foundation. a completed application includes: a copy of an official transcript, three letters of recommendation, and a budget form for the upcoming term.
    cAny submission deadlines:
    applications should be submitted to the foundation 30 days before the quarter or semester begins.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    APPLICANTS ARE LIMITED TO dependants of emyployees of Pemco insurance who have or will graduate high school and attend a university or college. Applicants are required to maintain a course load minimum of 10 credits per semester/quarter. to be eligible, the employee must have held employment with Pemco Insurance for at least three years.
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    pemco foundation inc
    po box 778
    seattle,WA98111
    (206) 628-4285
    scholarships@pemco.com
    bThe form in which applications should be submitted and information and materials they should include:
    applications should be mailed, emailed, or faxed to the foundation. a completed application includes: a copy of an official transcript, three letters of recommendation, and a personal interview, if requested, before the scholarship committee.
    cAny submission deadlines:
    applications should be submitted to the foundation 30 days before the quarter or semester begins.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    APPLICANTS ARE LIMITED TO persons who have or will graduate high school and attend a university or college. Applicants are required to maintain a course load minimum of 10 credits per semester/quarter.
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Kcts
    401 Mercer Street
    Seattle,WA98109     		  501 ( c) (3) Golden Apple Awards 50,000
    Independent Colleges Of Washington
    600 Stewart St Suite 600
    Seattle,WA98101     		  501 ( c) (3) donation 45,000
    Foundation for Private Enterprise Educat
    923 Powell Avenue SW
    Renton,WA98057     		  501 ( c) (3) donation 30,000
    Crimestoppers Of Puget Sound
    PO Box 34986
    Seattle,WA98124     		  501 ( c) (3) reward 16,855
    Eastern Washington University Foundation
    127 Hargreaves Hall
    Cheney,WA99004     		  501 ( c) (3) donation 16,610
    Camp Fire of Snohomish County
    4312 Rucker Avenue
    Everett,WA98203     		  501 ( c) (3) donation 7,500
    Washington Deca
    200 West Mercer St 207
    Seattle,WA98119     		  501 ( c) (3) donation 6,000
    PSCS Special Events
    4831 35th Avenue SW
    Seattle,WA98126     		  501 ( c) (3) donation 5,500
    Wa School Principals Educ Fdtn
    2142 Cispus Road
    Randle,WA98377     		  501 ( c) (3) donation 5,000
    Spokane Guild School & Neuromuscular
    2118 W Garland
    Spokane,WA992052598     		  501 ( c) (3) donation 4,000
    Big Brothers Big Sisters of Inland NW
    22 West Mission Avenue
    Spokane,WA99201     		  501 ( c) (3) donation 3,500
    Swim Across America
    8711 SE 44th Place
    Mercer Island,WA98040     		  501 ( c) (3) donation 3,195
    Washington Business Week
    923 Powell Ave SW Suite 100
    Renton,WA98057     		  501 ( c) (3) donation 3,000
    Courtney Kinniburgh
    1919 Highpoint St
    Enumclaw,WA98022     		  Individual scholarship 2,500
    Shane Vance
    PO Box 631
    Fall City,WA98024     		  Individual scholarship 2,500
    Caroline Kasman
    7855 81st Pl SE
    Mercer Island,WA98040     		  Individual scholarship 2,100
    Sarah Gleason
    31600 126th Ave SE 51
    Auburn,WA98092     		  Individual scholarship 2,100
    Anab Nur
    424 S 191st Pl
    Burien,WA98148     		  Individual scholarship 1,500
    Megan Miller
    PO Box 8215
    Bonney Lake,WA98391     		  Individual scholarship 1,350
    Aaron Rogers
    5862 Troon Ave SW
    Port Orchard,WA98367     		  Individual scholarship 1,250
    Andie Rogers
    5862 Troon Ave SW
    Port Orchard,WA98367     		  Individual scholarship 1,250
    Lauren Connally
    23134 131st Ave SE
    Kent,WA98031     		  Individual scholarship 1,250
    Menglan Ji
    16214 NE 25th St
    Bellevue,WA98008     		  Individual scholarship 1,250
    Shobhit Hathi
    9957 228th Terrace NE
    Redmond,WA98053     		  Individual scholarship 1,250
    Brittany Leung
    26648 SE 15th St
    Sammamish,WA98075     		  Individual scholarship 1,200
    Ciara Hansen
    222 Old Stage Way
    Yakima,WA98908     		  Individual scholarship 1,200
    Jordan Holland
    515 Seneca Ave NW
    Renton,WA98057     		  Individual scholarship 1,200
    Mary's Place
    PO Box 1711
    Seattle,WA981111711     		  501 ( c) (3) donation 1,150
    McKenna Sakamoto
    4124 Angela Ct
    Bellingham,WA98229     		  Individual scholarship 1,050
    Boys & Girls Club of Snohomish County
    Alderwood Club
    Everett,WA98208     		  501 ( c) (3) donation 1,000
    CHILD
    4030 86th Ave SE
    Mercer Island,WA98040     		  501 ( c) (3) donation 1,000
    Cocoon House
    2929 Pine St
    Everett,WA98201     		  501 ( c) (3) donation 1,000
    EWU College of Business and Public Admin
    N 668 Riverpoint Blvd Rm 310
    Spokane,WA99202     		  501 ( c) (3) donation 1,000
    Friends of VA Puget Sound Fisher House
    PO Box 18253
    Seattle,WA98118     		  501 ( c) (3) donation 1,000
    Junior Achievement
    1700 Westlake Avenue N
    Seattle,WA98109     		  501 ( c) (3) donation 1,000
    NW School for Deaf and Hard of Hearing C
    PO Box 33666
    Shoreline,WA98133     		  501 ( c) (3) donation 1,000
    Old Dog Haven
    621 SR9 NE PMB A4
    Lake Stevens,WA982588525     		  501 ( c) (3) donation 1,000
    Spokane Eastside Reunion Association
    2117 E Hartson Ave
    Spokane,WA99202     		  501 ( c) (3) donation 1,000
    Wounded Warrior
    2200 Alaskan Way Suite 130
    Seattle,WA98181     		  501 ( c) (3) donation 1,000
    Alexandra Dacones
    2422 73rd St SE
    Everett,WA98203     		  Individual scholarship 900
    Alexis Downey
    7974 Emery Blvd NW
    Silverdale,WA98383     		  Individual scholarship 900
    Brianne Brower
    21010 111th Ave E
    Graham,WA98338     		  Individual scholarship 900
    Bryan McNair
    5803 Larson St
    Cashmere,WA98815     		  Individual scholarship 900
    Caitlyn Goodwin
    5325 Shincke Rd NE
    Olympia,WA98506     		  Individual scholarship 900
    Camille Senn
    22227 123rd Pl SE
    Kent,WA98031     		  Individual scholarship 900
    Cecilia Cordova
    1001 So State St
    Tacoma,WA98405     		  Individual scholarship 900
    Charlaine Barth
    1208 Holloway Dr Apt 7
    Lafayette,IN47905     		  Individual scholarship 900
    Courtney Hall
    3502 W 42nd Ave
    Kennewick,WA99337     		  Individual scholarship 900
    Danielle McKeirnan
    1301 Scenic Dr
    Prosser,WA99350     		  Individual scholarship 900
    Elizabeth Ruthven
    1404 Garfield
    Walla Walla,WA99362     		  Individual scholarship 900
    Emily Kershaw
    31 Strawberry Hill Rd
    Elma,WA98541     		  Individual scholarship 900
    Ethan Holle
    12124 NE 97th St
    Kirkland,WA98033     		  Individual scholarship 900
    Getsemani Diaz De La Sancha
    Ramola 368 501 E University Way
    Ellensburg,WA98926     		  Individual scholarship 900
    Janelle Miranda
    223 W Ash St
    Waterville,WA98858     		  Individual scholarship 900
    Joe Hayes
    7402 Forest Glen Ct
    Gig Harbor,WA98335     		  Individual scholarship 900
    Joel Martin
    1900 Lomaland Dr
    San Diego,CA92106     		  Individual scholarship 900
    Kailey Ralston
    1218 NE Campus Pkwy 715
    Seattle,WA98105     		  Individual scholarship 900
    Kaitlynn Kleinbach
    PO Box 1264
    Connell,WA99326     		  Individual scholarship 900
    Kari Jakobsen
    15431 70th Ave SE
    Snohomish,WA98296     		  Individual scholarship 900
    Kelsie Cornett
    5603 187th Ave Ct E
    Lake Tapps,WA98391     		  Individual scholarship 900
    Lauren Bergman
    114 Locust St
    Walla Walla,WA99362     		  Individual scholarship 900
    Lauren Trei
    7536 Grahn Lane
    Bremerton,WA98311     		  Individual scholarship 900
    Luis Gomez
    620 S 38th Ave
    Yakima,WA98902     		  Individual scholarship 900
    Luke Gales-Alexenko
    604 E 7th St
    Waitsburg,WA99361     		  Individual scholarship 900
    Madison Young
    12228 Championship Circle
    Mukilteo,WA98275     		  Individual scholarship 900
    Malando Redeemer
    218 166th St E
    Spanaway,WA98387     		  Individual scholarship 900
    Miles Bell
    8115 213th St SW
    Edmonds,WA98026     		  Individual scholarship 900
    Naomi Johnson
    321 Flying H Loop
    Naches,WA98937     		  Individual scholarship 900
    Nicole Howard
    5559 33rd Ave NE
    Seattle,WA98105     		  Individual scholarship 900
    Rebecca Steele
    5503 NE 45th Ave
    Vancouver,WA98661     		  Individual scholarship 900
    Ryan Haag
    2315 185th Pl NE
    Redmond,WA98052     		  Individual scholarship 900
    Sarah Hall
    5908 NE 74th Circle
    Vancouver,WA98661     		  Individual scholarship 900
    Stephanie Crowther
    3470 Astoria Rd
    Mesa,WA99343     		  Individual scholarship 900
    Sudarshan Balasubramanian
    3710 246th Ave SE
    Issaquah,WA98029     		  Individual scholarship 900
    Tahlie Cablayan
    9910 183rd Ave E
    Bonney Lake,WA98391     		  Individual scholarship 900
    Tanner Perry
    8228 127th Ave SE
    Snohomish,WA98290     		  Individual scholarship 900
    Tayler Johnston
    2224 170th Ave E
    Bonney Lake,WA98391     		  Individual scholarship 900
    Taylor Hansen
    826 N Stevenson Ct
    Liberty Lake,WA99019     		  Individual scholarship 900
    Telia Royal
    4100 S 20th Pl Apt K-203
    SeaTac,WA98198     		  Individual scholarship 900
    Tia Thomas
    3102 S 381st Way
    Auburn,WA98001     		  Individual scholarship 900
    Trey Martin
    14211 S Kenney Rd
    Spokane,WA99224     		  Individual scholarship 900
    Tyler Caseria
    515 Everglad Rd
    Bellingham,WA98225     		  Individual scholarship 900
    Safety Net
    211 West 2nd Avenue
    Spokane,WA99201     		  501 ( c) (3) donation 765
    Seattle Children's Hospital Foundation
    M/S S-200 PO Box 5371
    Seattle,WA981455005     		  501 ( c) (3) donation 755
    Rainier Foothills Wellness Foundation
    1675 Cole Street
    Enumclaw,WA98126     		  501 ( c) (3) donation 715
    Vanessa Behan Crisis Nursery
    1004 E 8th Ave
    Spokane,WA99202     		  501 ( c) (3) donation 715
    PAWS
    PO Box 1037
    Lynnwood,WA98046     		  501 ( c) (3) donation 705
    Ronald McDonald House
    5130 40th Ave NE
    Seattle,WA98105     		  501 ( c) (3) donation 705
    Abby Lohman
    15283 Sunset Rd
    Bow,WA98232     		  Individual scholarship 600
    Alyson Spidle
    1505 Denson Ave
    Sunnyside,WA98944     		  Individual scholarship 600
    Aman Buttar
    2009 Talbot Rd S
    Renton,WA98055     		  Individual scholarship 600
    Andrew Allen
    10417 NE 135th Pl
    Kirkland,WA98034     		  Individual scholarship 600
    Ashley Maxwell
    2720 14th St Pl SW
    Puyallup,WA98373     		  Individual scholarship 600
    Audrey Cosgrove
    3023 N Spotted Rd
    Spokane,WA99224     		  Individual scholarship 600
    Bo Dudley
    25515 121st St E
    Buckley,WA98321     		  Individual scholarship 600
    Brandae Grein
    857 164Th Pl NE
    Bellevue,WA98008     		  Individual scholarship 600
    Brianna Warner
    425 Murray Rd
    Yakima,WA98908     		  Individual scholarship 600
    Brittany Dike
    25934 13th PL S
    Des Moines,WA98198     		  Individual scholarship 600
    Carynia Smith
    6737 40th Ave SW
    Seattle,WA98136     		  Individual scholarship 600
    Dan Tran
    2835 Dairy Ct NE
    Olympia,WA98506     		  Individual scholarship 600
    Delaney Kirchmeier
    2428 31st Ave W
    Seattle,WA98199     		  Individual scholarship 600
    Eric Nix
    803 E Upper Terrace Ln
    Colbert,WA99005     		  Individual scholarship 600
    Grace Sales
    2330 Kibler Ave
    Enumclaw,WA98022     		  Individual scholarship 600
    Hannah Cummings
    195 Vista Rd
    Chehalis,WA98532     		  Individual scholarship 600
    Jacob Troupe
    19215 SE 10th Circle
    Camas,WA98607     		  Individual scholarship 600
    Jessica Lucas
    14241 NE Wood-Duvall Rd 253
    Woodinville,WA98072     		  Individual scholarship 600
    Kaitlin Rosenthal
    220 Ottawa Ct
    Richland,WA99352     		  Individual scholarship 600
    Kathleen Lucier
    2801 NE 23rd St
    Renton,WA98056     		  Individual scholarship 600
    Kendahl Sugai
    6822 77th St Ct E
    Puyallup,WA98371     		  Individual scholarship 600
    Madison Elmenhurst
    806 Stanley Dr
    College Park,WA99324     		  Individual scholarship 600
    Stella Lao
    4865 152nd PL SE
    Bellevue,WA98006     		  Individual scholarship 600
    Washington State University Foundation
    PO Box 642114
    Pullman,WA991642114     		  501 ( c) (3) donation 550
    Pacific Lutheran University
    12180 Park Avenue South
    Tacoma,WA98447     		  501 ( c) (3) donation 500
    Whitman College
    345 Boyer Ave
    Walla Walla,WA99362     		  501 ( c) (3) donation 500
    Abigail Yost
    Selah Naches Rd
    Yakima,WA98908     		  Individual scholarship 450
    Alex Fergus
    3251 E Zillah Dr
    Zillah,WA98953     		  Individual scholarship 450
    Ander Pregartner
    PO Box 1917
    Kingston,WA98346     		  Individual scholarship 450
    Anna Baden
    3853 45th Ave NE
    Seattle,WA98105     		  Individual scholarship 450
    Brandon Kebba
    36614 55th Ave S
    Auburn,WA98001     		  Individual scholarship 450
    Danielle Burris
    PO Box 326
    Medical Lake,WA99022     		  Individual scholarship 450
    Emily Carroll
    5314 162nd Pl SW
    Edmonds,WA98026     		  Individual scholarship 450
    Hailey Worstman
    20107 78th Ave SE
    Snohomish,WA98296     		  Individual scholarship 450
    Haley VonGoedert
    21730 SE 298th Pl
    Kent,WA98042     		  Individual scholarship 450
    JT Tumanuvao
    3603 SE 198th Ave
    Camas,WA98607     		  Individual scholarship 450
    Katelyn Monaco
    1617 Sundrop Ln SE
    Tumwater,WA98501     		  Individual scholarship 450
    Kayla Wilson
    829 W Fairview
    Spokane,WA99205     		  Individual scholarship 450
    Keiley Munsterman
    5123 Lyons Loop
    Yakima,WA98903     		  Individual scholarship 450
    Kelly Simonsen
    PO Box 602
    Cheney,WA99004     		  Individual scholarship 450
    Kennedy Robillard
    3600 19th Ave Ct SE
    Puyallup,WA98372     		  Individual scholarship 450
    Krystal Roberts
    1440 Home Ave
    Walla Walla,WA99362     		  Individual scholarship 450
    Kyle Hofstetter
    2616 Henry St
    Bellingham,WA98225     		  Individual scholarship 450
    Kylie Rademacher
    706 Bathke Ave
    Enumclaw,WA98022     		  Individual scholarship 450
    Kyra Wonders
    2521 Fancher Hts Blvd
    East Wenatchee,WA98802     		  Individual scholarship 450
    Madalyn Jacobs
    4591 Eltopia W Rd
    Eltopia,WA99330     		  Individual scholarship 450
    Madeline Grossfeld
    14212 SE 52nd Place
    Bellevue,WA98006     		  Individual scholarship 450
    Malena Evig
    94 Barden Ln
    Chelan,WA98816     		  Individual scholarship 450
    Mari McLaughlin
    17623 65th Ave W
    Lynnwood,WA98037     		  Individual scholarship 450
    Morgan Masters
    4845 Churchill Rd SE
    Tenino,WA98589     		  Individual scholarship 450
    Nathaniel Drew Carleton
    2300 Washington St
    Manson,WA98831     		  Individual scholarship 450
    Olivia Holden
    PO Box 1245
    Davenport,WA99122     		  Individual scholarship 450
    Ruben Mackenzie
    504 E 3rd St
    Cle Elum,WA98922     		  Individual scholarship 450
    Tessa DeBartolo
    1611 NE 28th St
    Renton,WA98056     		  Individual scholarship 450
    Tessa Hassinger
    421 Orchard St
    Leavenworth,WA98826     		  Individual scholarship 450
    University of North Dakota Student
    Twamley Hall Room 216
    Grand Forks,ND58202     		  Individual scholarship 450
    Fred Hutchinson Cancer Research
    1100 Fairview Ave N
    Seattle,WA98109     		  501 ( c) (3) donation 420
    Westminster Church
    Crosswalk Program
    Spokane,WA99204     		  501 ( c) (3) donation 360
    Alexandria Robbin
    16231 Valhalla Dr
    Bothell,WA98011     		  Individual scholarship 300
    Astride Ham
    2534 W Marina Dr
    Moses Lake,WA98837     		  Individual scholarship 300
    Caroline Herting
    250 Ann Dr
    Yakima,WA98908     		  Individual scholarship 300
    Christine Lew
    12 Silcox Island 1
    Lakewood,WA98498     		  Individual scholarship 300
    Darlee Hart
    37812 21st Ct S
    Federal Way,WA98003     		  Individual scholarship 300
    Emma Clark
    216 Hawthorn Rd
    Bellingham,WA98225     		  Individual scholarship 300
    Erika Leinweber
    60 Cranbrook Lane
    Walla Walla,WA99362     		  Individual scholarship 300
    Grace Camp
    8448 Mengelos St
    Peshastin,WA98847     		  Individual scholarship 300
    Isabella Thompson
    3832 East Liberty Ave
    Spokane,WA99217     		  Individual scholarship 300
    Jace Allen
    PO Box 603
    Cle Elum,WA98922     		  Individual scholarship 300
    Jacob Lucas
    14241 NE Wood-Duvall Rd
    Woodinville,WA98072     		  Individual scholarship 300
    Laurie Willoughby
    5512 NE 26th St
    Renton,WA98059     		  Individual scholarship 300
    Loran Goninan
    2100 NE Marge Lane
    East Wenatchee,WA98802     		  Individual scholarship 300
    Luis Fernandez
    Sunset Dr 1815-B
    Brewster,WA98812     		  Individual scholarship 300
    Maria Franchino
    917 W 28th Ave
    Spokane,WA99203     		  Individual scholarship 300
    William Ekstrom
    PO Box 312
    Okanogan,WA98840     		  Individual scholarship 300
    Yeung Yip
    2730 W Maplewood Ave Apt 10
    Bellingham,WA98225     		  Individual scholarship 300
    American Red Cross
    1900 25th Avenue South
    Seattle,WA98144     		  501 ( c) (3) donation 240
    Big Bend Community College Foundation
    7662 Chanute St NE
    Moses Lake,WA98837     		  501 ( c) (3) donation 150
    Community In Schools Of Auburn
    502 4th Street Ne
    Auburn,WA98002     		  501 ( c) (3) donation 150
    Green River Community College Foundation
    12401 SE 320Th St
    Auburn,WA98092     		  501 ( c) (3) donation 150
    Pasados Safe Haven
    PO Box 171
    Sultan,WA98294     		  501 ( c) (3) donation 150
    Reach For The Future
    PO Box 30851
    Spokane,WA99223     		  501 ( c) (3) donation 150
    Shriners Hospital For Children
    3101 SW Sam Jackson Park Rd
    Portland,OR972393009     		  501 ( c) (3) donation 150
    Crohns And Colitis Foundation of America
    PO Box 1245
    Albert Lea,MN56007     		  501 ( c) (3) donation 100
    Alex's Lemonade Stand
    Bala Pointe 111 Presidential Blvd
    Ste 203
    Bala Cynwyd,PA19004     		  501 ( c) (3) donation 50
    Annie's Community Kitchen
    23525 84th Avenue W
    Edmonds,WA98026     		  Individual donation 50
    Cheer Seattle
    PO Box 24042
    Seattle,WA98124     		  501 ( c) (3) donation 50
    Community Lunch on Capitol Hill
    509 10th Ave E
    Seattle,WA98102     		  501 ( c) (3) donation 50
    Fare Start
    700 Virginia St
    Seattle,WA98101     		  501 ( c) (3) donation 50
    Friends of the Cliffs
    HC67 Box 1
    Marble Canyon,AZ86036     		  501 ( c) (3) donation 50
    Hope Link
    14812 Main St
    Bellevue,WA98007     		  501 ( c) (3) donation 50
    Iron It Out
    1103 SE Lexington St
    Portland,OR97202     		  501 ( c) (3) donation 50
    Kitty Harbor
    3422 Harbor Avenue SW
    Seattle,WA98126     		  501 ( c) (3) donation 50
    Lakota Chapter NSDAR
    3205 88th St E
    Tacoma,WA98446     		  501 ( c) (3) donation 50
    Little Bit Therapeutic Riding Center
    18675 NE 106th St
    Redmond,WA98052     		  501 ( c) (3) donation 50
    Normandy Park Congregational Church
    19247 1st Ave S
    Seattle,WA98148     		  501 ( c) (3) donation 50
    Seattle Childrens Hospital
    4800 Sand Point Way NE
    Seattle,WA981455005     		  501 ( c) (3) donation 50
    Seattle Times Fund For The Needy
    PO Box C11025
    Seattle,WA98111     		  501 ( c) (3) donation 50
    Sign Fracture Care International
    451 Hills Street Suite B
    Richalnd,VA99354     		  501 ( c) (3) donation 50
    Sno Kin CO Edmonds Fury
    700 Main St Suite 111
    Edmonds,WA98020     		  501 ( c) (3) donation 50
    The American Diabetes Association
    PO Box 11454
    Alexandria,VA22312     		  501 ( c) (3) donation 50
    The Hoarding Project
    621 Pacific Avenue Suite 300
    Tacoma,WA98402     		  501 ( c) (3) donation 50
    Treehouse
    2100 24th Ave S 200
    Seattle,WA98144     		  501 ( c) (3) donation 50
    WACAP
    PO Box 88943
    Seattle,WA98138     		  501 ( c) (3) donation 50
    West Seattle Food Bank
    3419 SW Morgan St
    Seattle,WA98126     		  501 ( c) (3) donation 50
    YouthCare
    2500 NE 54th St
    Seattle,WA98105     		  501 ( c) (3) donation 50
    Total .................................bullet 3a 310,690
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 25,009  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 6,713  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 31,722 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    31,722
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2019)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2019
    Name of the organization
    PEMCO Foundation Inc
     
    Employer identification number

    91-6072723
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
    Name of organization
    PEMCO Foundation Inc
          		Employer identification number
    91-6072723
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    Pemco mutual insurance company
     
    1300 dexter ave n
     
    seattle, WA98109

    		$ 43,232


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
    Page 3
    Name of organization
    PEMCO Foundation Inc
          		Employer identification number

    91-6072723
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
    1
    		 Stocks $ 43,232 2017-03-10
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
    Page 4
    Name of organization
    PEMCO Foundation Inc
          		Employer identification number

    91-6072723
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2016 AccountingFeesSchedule
    Name:
    PEMCO Foundation Inc
    EIN:
    91-6072723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting Fees 3,150 0 0 3,150

    TY 2016 InvestmentsOtherSchedule2
    Name:
    PEMCO Foundation Inc
    EIN:
    91-6072723
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    vanguard funds AT COST 972,619 972,619
    Domestic Stock AT COST 148,889 148,889

    TY 2016 OtherExpensesSchedule
    Name:
    PEMCO Foundation Inc
    EIN:
    91-6072723
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    meals & entertainment 254 0 0 254
    bank fees 1,841 1,841 0 0


    TY 2016 OtherIncreasesSchedule
    Name:
    PEMCO Foundation Inc
    EIN:
    91-6072723
    Description Amount
    unrealized losses 75,515


    TY 2016 TaxesSchedule
    Name:
    PEMCO Foundation Inc
    EIN:
    91-6072723
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Federal Income Tax 700 0 0 0